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CASE INVESTIGATION
The event was investigated by the CSB (Chemical safety board),
and tube design, with the hydrocarbon stream in the shell side,
REBOILER'S DESIGN
Originally the reboilers are designed to be used concurrently, a
isolate each reboiler from the other, and they had the effect of
REBOILER B FAILURE
Reboiler B, that ultimately failed, had been purged with nitrogen and
valve.
According to process logs, hot water started flowing into Reboiler B at 8:33
am, and the reboiler exploded 3 minutes later after the hydrocarbon
process fluid flashed to vapor, ruptured the shell of the heat exchanger,
and ignited.
PEOPLE AFECTED
The explosion killed an operator at the scene, and the operations
supervisor died from burns the next day. 167 other people on-site